Only 5-10% breast cancers are genetically linked. The women with inherited gene mutations are at high-risk of developing breast cancer during their lifetime,
most common mutations are BRCA 1 and BRCA2. The risk assessment can be carried out in consultation with the experts, which relies on family history.
A test to detect gene mutations could be carried out in women assessed to be at significant risk however that needs to be done with careful understanding
of the pros and cons of the test and its results.
Women who have been detected with a gene mutation (BRCA mutations and some other genes) with significant lifetime risk of breast cancer could choose to
have risk-reduction mastectomies with immediate reconstruction. There is a very small group of women who have high-risk family history but no identifiable
gene mutation could be detected and these women might be recommended risk-reduction breast surgery by the geneticist.
The options of immediate breast reconstruction (those suitable for you) would be discussed at the time of consultation. Most of these procedures require
more than one operation and require careful discussion and planning.
We can help you with advice and management if you qualify any of the following criteria.
Breast Cancer Risk Assessment (91 KB)
This involves bilateral mastectomies with (or without) immediate breast reconstruction. Most women have an option for nipple preservation, the pros and
cons of which would be discussed with you.
The options for reconstruction involves implants or your own body tissues. You could refer to implant reconstruction and reconstruction using body tissues
(under breast cancer surgery section) for details.
We would suggest and support psychological counselling for women undergoing risk-reducing surgery, although this is not essential.
The breast care nurse would be able to guide and support you with the counselling process.
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I am grateful to Miss Roy for her kindness, honesty, reassuring manner and excellent skills. I would never wish breast cancer on anyone but should they find it befalls them and they have you as their surgeon, they will be quick to realize that they have one of the best, who will do all in her power to make them well again. I sincerely thank you for giving my life back.